Company News:

Employment Application

Tue, Aug 22nd, 2017 12:00:00 am

R&R CONSTRUCTION INC. EMPLOYMENT APPLICATION

510 Hwy 108 E

Sulphur, LA   70665-8523

337.558.7362

NOTE: This application is valid for 60 days.  If you wish to be considered for reemployment after this 60-day period,

a new application must be completed.

PERSONAL INFORMATION

Name: _____________________________________________________________

LAST                             FIRST                            MI

Address: ____________________________________________________________________________

Street                                              City                                                   State                    Zip

Phone No: (         ) - _______ - ___________

Cell No:     (         ) - _______ - ___________

email: _____________________________

Are you 18 years or older? ____YES ____NO

EMPLOYMENT DESIRED

Position: ____________________________ Salary Desired: ____________ Date You Can Start:  ________________

Are you employed now? ___YES   ___NO

If so, may we inquire of your present employer? ___YES ___NO

Have you worked for us before? ___YES ___NO If so, when & where did you work? _______________

EDUCATION

Are you a high school graduate? ___YES ___NO

College or Trade School Attended (Do Not List High School)

Name & Location of College or Trade School

No of years

attended

Did you graduate

Major

EXPERIENCE AND/OR TRAINING

Primary Craft or Trade: ______________________________   Yrs of Experience: ________

HAVE YOU EVER BEEN SKILL ASSESSED OR TAKEN A TEST FOR YOUR PARTICULAR CRAFT? ___YES ___NO

List any special skills, training or experience that may be of use to us as a business or general contractor:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Military Service: _________________ Rank: __________

Are you presently in the National Guard or Reserve? YES NO

Have you ever been placed on the industry "Denied Access" List? YES NO

Are you available for shift work, on call or overtime shifts? YES NO

REFERENCES

(Give the names of three persons not related to you, whom you have known at least one year).

Name                                                            Address                                                                                            Phone Number

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

IN CASE OF EMERGENCY CONTACT: NAME:____________________________________________ Phone#: _________________

PAST EMPLOYMENT HISTORY

Dates

From / To

Name & Phone # of Previous Employer

Salary

Position

Reason for Leaving

 

"I certify that the information in this application is true and understand that misrepresentations of false or omitted facts may result in my termination, regardless of the time of discovery by the company.  I also understand that if hired, my employment is for no definite period and I may be terminated at any time without written notice and that absent a written contract signed by the President of the company, I will remain an at-will employee and can be terminated at any time without any notice.

I authorize investigation of the statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information such as references may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.  I also understand that I will be required to submit to a pre-employment drug/alcohol test."

_______________________                                                  __________________________________________

Date                                                                                         Signature

EQUAL EMPLOYMENT POLICY STATEMENT

It is the policy of this company to assure applicants are employed, and that employees are treated, during employment, without regard to their race, religion, sex, color or national origin.  Such action shall include: employment, upgrading, demotion or transfer; recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship and/or on-the-job training.

You are encouraged to refer minority groups and female applications for employment with this company.



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